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Blood Score Panel For Fatty Liver Disease

Texas rates for HCPCS 0003M

Assesses liver damage in non-alcoholic fatty liver disease without needing a biopsy. Ten measurements from a serum sample, among them ALT, AST, GGT, total bilirubin, triglycerides, haptoglobin, alpha-2-macroglobulin and apolipoprotein A-1, are combined by a formula into three separate scores: one for scarring, one for fat in the liver, and one for inflammation.

Facilitymedian $933 · 10th–90th $355$2,3990%10%10th90th$933Professionalmedian $363 · 10th–90th $214$4900%20%10th90th$363$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$724.44
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,584.89
Typical High
$2,630.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$275.42
Typical High
$489.78
Christus
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$933.25
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$524.81
Typical High
$691.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$912.01
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$501.19
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$501.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$501.19